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Individual

SAMANTHA ROSE PICHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 FEDERAL ST, BOSTON, MA 02110-1817
(323) 205-7088
Mailing address
3621 OAK RIDGE LN, DOTHAN, AL 36303-8303

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1-157458
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN10016891
MA

Other

Enumeration date
09/16/2020
Last updated
10/08/2024
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